Journal article
Cholecystectomy in Patients With Cirrhosis: A Surgical Challenge
Archives of surgery (Chicago. 1960), v 120(6), pp 669-672
Jun 1985
PMID: 4004553
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
• Cholecystectomy or cholecystostomy was performed in 49 patients with cirrhosis with a mortality of 10.2%. Massive intraoperative blood loss was found in 16.3% and major wound problems (dehiscence, abscess) in 12.2%. Intraoperative blood loss, amount of blood transfused, and mortality were correlated with the Child classification of hepatic reserve. Mortality was 23.5% for Child C patients vs 0% for Child A patients. Excessive blood loss from a hypervascular biliary bed and resulting liver failure and sepsis were the usual causes of death. Elective surgical intervention for Child A and B patients with symptomatic cholelithiasis is warranted. In Child C patients, however, every attempt should be made to increase the class to a Child B.(Arch Surg 1985;120:669-672.
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Details
- Title
- Cholecystectomy in Patients With Cirrhosis: A Surgical Challenge
- Creators
- Robert S BlochRobert D AllabenAlexander J Walt
- Publication Details
- Archives of surgery (Chicago. 1960), v 120(6), pp 669-672
- Publisher
- American Medical Association
- Number of pages
- 4
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:A1985AJN4200003
- Scopus ID
- 2-s2.0-0021874967
- Other Identifier
- 991021921171604721
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- Web of Science research areas
- Surgery